Active NPI
Emilia Bingham, LCSW
- Clinical Social Worker
- Charlestown, MA
National Provider Identifier
1982487476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW229512
- Practice address
- 240 Medford St
Charlestown, MA 02129-1930 - Phone
- (617) 241-0209
- NPI assigned
- Aug 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW229512 | MA | Primary |
Addresses
Primary practice location
240 Medford St
Charlestown, MA 02129-1930
Mailing address
66 S Huntington Ave Apt 22
Boston, MA 02130-4762
Phone (208) 481-7678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW229512 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North End Community Health Committee Inc | Current | Accepting new patients |
Locations
332 Hanover St
Boston, MA 02113
Phone (617) 643-8000
240 Medford St
Charlestown, MA 02129
Phone (617) 241-0236
15 Tufts St
Charlestown, MA 02129
Phone (857) 238-1100
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health & General Preventive Medicine Physician
- Boston, MA
- NPI 1780606608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1982487476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 S HUNTINGTON AVE APT 22",
"city": "BOSTON",
"state": "MA",
"postal_code": "021304762",
"telephone_number": "208-481-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MEDFORD ST",
"city": "CHARLESTOWN",
"state": "MA",
"postal_code": "021291930",
"telephone_number": "617-241-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BINGHAM",
"first_name": "EMILIA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "LCSW229512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlestown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.